SKILES TEST BASEBALL LEAGUE PLAYER REGISTRATION Parent/Guardian Information First Name
Last Name
Home Address City Mobile Phone 2
State
( (
) )
Zip
Contact Preference
⃝ Call
⃝ Text
Type
⃝ Home
⃝ Work
⃝ Mobile
Email Email 2 Health Plan Provider
Insurance ID
Second Parent/Guardian or Emergency Contact Information First Name
Last Name
Home Address
⃝ same as applicant
City Mobile Phone 2
State
( (
) )
Zip
Contact Preference
⃝ Call
⃝ Text
Type
⃝ Home
⃝ Work
⃝ Mobile
Player #1 Information First Name
Last Name
/
Birthdate League Jersey Size
/
Medical Condition
⃝ Rookie (4-6) ⃝ A League BB (7-8) ⃝ Minor BB (9-10) ⃝ Major BB (11-13) ⃝ AA Softball (7-8) ⃝ AAA Softball (9-10) ⃝ Major Softball (11-13) ⃝ Yth-S ⃝ Yth-M ⃝ Yth-L ⃝ Yth-XL ⃝ Adlt-S ⃝ Adlt-M ⃝ Adlt-L ⃝ Adlt-XL ⃝ Adlt-2XL
Comments
Player #2 Information First Name
Last Name
/
Birthdate League Jersey Size
/
Medical Condition
⃝ Rookie (4-6) ⃝ A League BB (7-8) ⃝ Minor BB (9-10) ⃝ Major BB (11-13) ⃝ AA Softball (7-8) ⃝ AAA Softball (9-10) ⃝ Major Softball (11-13) ⃝ Yth-S ⃝ Yth-M ⃝ Yth-L ⃝ Yth-XL ⃝ Adlt-S ⃝ Adlt-M ⃝ Adlt-L ⃝ Adlt-XL ⃝ Adlt-2XL
Comments
Player #3 Information First Name
Last Name
/
Birthdate League Jersey Size
/
Medical Condition
⃝ Rookie (4-6) ⃝ A League BB (7-8) ⃝ Minor BB (9-10) ⃝ Major BB (11-13) ⃝ AA Softball (7-8) ⃝ AAA Softball (9-10) ⃝ Major Softball (11-13) ⃝ Yth-S ⃝ Yth-M ⃝ Yth-L ⃝ Yth-XL ⃝ Adlt-S ⃝ Adlt-M ⃝ Adlt-L ⃝ Adlt-XL ⃝ Adlt-2XL
Comments
Player #4 Information First Name Birthdate League Jersey Size Comments
Last Name
/
/
Medical Condition
⃝ Rookie (4-6) ⃝ A League BB (7-8) ⃝ Minor BB (9-10) ⃝ Major BB (11-13) ⃝ AA Softball (7-8) ⃝ AAA Softball (9-10) ⃝ Major Softball (11-13) ⃝ Yth-S ⃝ Yth-M ⃝ Yth-L ⃝ Yth-XL ⃝ Adlt-S ⃝ Adlt-M ⃝ Adlt-L ⃝ Adlt-XL ⃝ Adlt-2XL
SKILES TEST BASEBALL LEAGUE PLAYER REGISTRATION Payment Information League
Player Age
Quantity
Cost per player
Rookie League
Boys and Girls, ages 4-6
$ 115.00
AA Softball
Girls, age 6-8
$ 125.00
A League Baseball
Boys and Girls, ages 7-8
$ 140.00
AAA Softball
Girls, age 9-10
$ 125.00
Minor League Baseball
Boys and Girls, ages 9-10
$ 140.00
Major Softball
Girls, age 11-13
$ 125.00
Major League Baseball
Boys and Girls, ages 11-13
$ 140.00
Multiplayer Family Maximum
$ 280.00
Subtotal
Total
CASH
CHECK
CREDIT
Agreement Please read and choose a response. In consideration of Skiles Test Baseball League’s acceptance of this registration form, I(we) the undersigned parent(s) or legal guardian(s) of all above listed individuals (“Ballplayer(s)”) for myself/ourselves and our legal representatives and assigns, do hereby agree to the following: 1. I(We) acknowledge that participation in the Skiles Test Baseball League (the League) is a potentially injurious activity and that Ballplayer(s) should not participate unless he/she is medically and physically able to do so; and I(we) further agree and warrant that Ballplayer(s) is(are) both medically and physically able to fully participate in the League. For and on behalf of ourselves and Ballplayer(s), I(we) knowingly and freely assume all risks, injuries, loss, hazards, and dangers, known or unknown, directly or indirectly relating to Ballplayer(s)’ participation (with "participation" defined throughout to include without limitation participation in or attendance at any activity related to the League, whether directly involving Ballplayer(s) or not), including but not limited to any and all risks, loss, injuries, hazards, and dangers arising from the acts or omissions (including negligence) of Skiles Test Baseball League, Inc. and/or its directors, officers, agents, employees, coaches, umpires, volunteers, sponsors, other participants or family members or friends of other participants (collectively, the “Releasees”). 2. In addition, I(we) covenant not to sue and hereby WAIVE, RELEASE, DISCHARGE, and HOLD HARMLESS the Releasees from any and all claims, liabilities, demands, damages, and causes of action, present or future, whether foreseen or unforeseen, for any personal injury, property damage, or other injury, damage, harm, accident, or loss which may arise from Ballplayer(s)’ participation in, or which is related in any way to, Skiles Test Baseball League. 3. I(We) agree that if I(we) observe any risk or hazard during Ballplayer(s)’ participation, I(we) will bring such to the attention of the nearest Skiles Test coach or official as soon as possible. 4. I(We) agree that this release, waiver of liability, and covenant not to sue is intended to be as broad and inclusive as permitted by law. Should any portion hereof be held invalid, I(we) agree that the balance hereof shall continue in full legal force and effect. I(We) further agree to indemnify the Releasees for any costs, fees, or damages incurred by Releasees as a result of any injury, damage, harm, loss, or accident in any way related to Ballplayer(s). 5. I(We) grant permission for emergency first aid to be given to Ballplayer(s) in case of injury. 6. I(We) understand that Skiles Test Baseball League does not provide medical insurance coverage for Ballplayer(s) participants or other parties. 7. I(We) grant permission for images of Ballplayer(s) to be utilized on the league’s website, social media, and other materials. I(We) have read this liability Waiver, fully understand its terms, understand that I(we) have given up substantial rights by signing it and sign it freely and voluntarily without any inducement.
Parent(s) or Legal Guardian(s):
Parent/Guardian printed name
⃝ I accept
signature
Please return the completed form in one of the following methods. email:
[email protected] If you postal mail your completed application, please also send an email stating your child’s desire to play this season.
postal: Skiles Test Baseball League, Inc. 5868 E 71st St Suite E-169 Indianapolis, IN 46220-4075
⃝ I do not accept
date